Individual
CHANEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
499 LOMA ALTA AVE, LOS GATOS, CA 95030-6227
(725) 217-7066
Mailing address
499 LOMA ALTA AVE, LOS GATOS, CA 95030-6227
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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